Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide o o Abdominal series x-ray (check for obstruction) Nursing diagnosis for infectious diarrhea: • Risk for altered nutritional status related to diarrhea and vomiting • Fluid volume deficit related to loss of fluids secondary to diarrhea and vomiting • Risk for altered body temperature related to fever • Risk for activity intolerance related to fatigue • Knowledge deficit related to infection, fluid loss, and risk of transmission Nursing interventions for infectious diarrhea: • Check often for fever • Offer antipyretics; use suppositories if vomiting is severe • Offer antidiarrheal and nausea medications per MDorder: o Imodium: Opiate based over-the-counter product for diarrhea o Pepto Bismol: Bismuth subsalicylate (aspirin based) product used to settle the GI tract and relieve diarrhea and indigestion o Zofran: Newer antiemetic given under the tongue to relieve nausea and vomiting o Compazine: Older generation antiemetic in tablet form or suppository to help relieve nausea and vomiting o Donnatal: Older prescription antidiarrheal • Offer clear liquids in small sips; tay away from milk products • Offer bland soft diet; BRAT diet (Bananas, Rice, Applesauce, and Toast) four hours after last vomiting episode • Monitor Intake and Output, daily weights, and electrolyte status • Give IV fluids as ordered by MD for dehydration • Give good peri area care to rectal area if irritated fromdiarrhea • Teach hand washing technique to patient and family • Encourage increased rest Expected outcomes for infectious diarrhea: • Demonstrates ability to maintain adequate nutrition • Demonstrates ability to maintain fluid status and reduction in vomiting or diarrhea • Verbalizes relief of symptoms, abdominal pain decreased, and no fever • Tolerates increased activity levels • Verbalizes understanding of disease, medications, and infection control Blood culture if fever is high

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